Healthcare Provider Details

I. General information

NPI: 1679759013
Provider Name (Legal Business Name): BABBITT CHIROPRACTIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2008
Last Update Date: 03/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 S MARTINE AVE
FANWOOD NJ
07023-1622
US

IV. Provider business mailing address

120 S MARTINE AVE
FANWOOD NJ
07023-1622
US

V. Phone/Fax

Practice location:
  • Phone: 908-680-9600
  • Fax: 908-680-9601
Mailing address:
  • Phone: 908-680-9600
  • Fax: 908-680-9601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberMC01622
License Number StateNJ

VIII. Authorized Official

Name: DR. GRANT L BABBITT
Title or Position: PARTNER
Credential: D.C.
Phone: 908-680-9600